Application to Become a USA Ultimate Affiliate
Affiliates are local, community-based ultimate organizations that have partnered with USA Ultimate in order to effectively:
a. Grow their community and organization by providing multiple opportunities for more people to play ultimate,
b. Offer support to local teams, serve youth, provide USA Ultimate branded programs and services and
c. Become part of the national infrastructure for the sport of ultimate in the United States by
d. Connect all of the organization's programs and events through sanctioning, wherein participants connect through USA Ultimate membership to receive comprehensive insurance coverage.

More information is provided on the USA Ultimate website at http://www.usaultimate.org/affiliates/

Email address *
Organization Information
Organization applying for affiliation *
Enter full/complete name
Your answer
Organization acronym
Your answer
Website *
Enter N/A, if none.
Your answer
Primary Mailing Address
Where we may send reports, checks, and other physical materials.
Name *
Your answer
C/O
(care of, if naming an individual at the address would be helpful for the delivery service)
Your answer
Street Address *
Your answer
Street Address (cont.)
Your answer
City *
Your answer
State *
Use the two-letter state code (e.g., CT, NY, OH, etc.)
Your answer
Zip Code *
Your answer
President's Information
President's Name *
First & Last
Your answer
USA Ultimate Account ID Number *
Your answer
E-mail Address *
Your answer
Phone Number *
Format - ###-###-#### (e.g., 890-123-4567)
Your answer
About the Organization
For any that don’t apply, answer N/A.
Based in what city/state? *
Your answer
Is the organization incorporated with the state? *
Required
Registered as what type of non-profit with IRS? *
Your answer
IRS Employee Identification Number (EIN)? *
Your answer
Number of board of directors positions? *
Your answer
Do you carry Directors & Officers (D&O) insurance coverage? *
Required
Approximate number of particpants: *
Your answer
Estimated number of participants that are youth: *
Your answer
Total number of ultimate events hosted annually: *
Event types may include tournaments, leagues, camps, clinics, practices/tryouts, etc.
Your answer
Do you host youth-specific events? *
Required
Events you may host that are not currently being sanctioned by USAU:
Surfaces/fields used *
Check all that apply
Required
What best describes your event registration system? *
Required
Interested in running USA Ultimate events? *
Required
List any other ultimate organizations or groups with whom you currently work or partner.
Your answer
Initial Term
For organizations that are approved for affiliation and that commit to a 3-year term:

• USA Ultimate will pay up to $750 for the organization’s directors and officer’s insurance coverage (when provided by USAU) beginning in the first year. Otherwise the affiliate is responsible for covering this cost for the first 3 years.

• We offer an Infrastructure Support Grant of $500 issued upon acceptance into the affiliate program and to be spent in support of organizational changes made due to the new partnership and in accordance with the Affiliate Priorities (Appendix C) and allowable costs as outlined in the Affiliate Agreement (Appendix A, Paragraph 4.b).

Select initial term: *
Required
Understanding and Agreement
Agreement *
When starting an affiliate there are prerequisites that need to be in place before consideration for provisional status. Please check that you have read and agree to the following:
Required
Acknowledgement of Understanding and Intention *
Required
Name of person agreeing to the terms *
Please enter your full name to indicate your agreement.
Your answer
Role in organization *
Your answer
Your email address *
Your answer
Today's Date *
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